(1) If filing a bond, letter of credit, or assignment of certificate of deposit pursuant to Florida Statutes § 501.016, the applicant shall use the applicable forms included in FDACS-10300, Health Studio Registration Application, Rev. 04/19, incorporated by reference in Fl. Admin. Code R. 5J-4.004

Terms Used In Florida Regulations 5J-4.014

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
    (2) Claims against a bond, letter of credit, or certificate of deposit shall be submitted on FDACS-10303, Health Studio Claim Affidavit, Rev. 12/14, hereby incorporated by reference. Copies of this form may be obtained from the Department of Agriculture and Consumer Services, Division of Consumer Services, Attention: Health Studios, 2005 Apalachee Parkway, Terry L. Rhodes Bldg., Tallahassee, Florida 32399-6500, or accessed online at: http://www.flrules.org/Gateway/reference.asp?No=Ref-05116.
Rulemaking Authority 501.014(2), 501.016(1), (2), (3), 570.07(23) FS. Law Implemented 501.016(1), (2), (3) FS. History-New 4-5-15, Amended 5-10-17, 7-15-18, 7-11-19.